Active NPI
Douglas E Snyder, MPT
- Physical Therapist
- Kalispell, MT
National Provider Identifier
1962491464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1284PT
- Practice address
- 1234 Whitefish Stage
Kalispell, MT 59901-2753 - Phone
- (406) 756-7878
- Fax
- (406) 257-7811
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1284PT | MT | Primary |
Addresses
Primary practice location
1234 Whitefish Stage
Kalispell, MT 59901-2753
Mailing address
1234 Whitefish Stage
Kalispell, MT 59901-2753
Phone (406) 756-7878
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60796 | Other | MT | BCBS OF MT PROVIDER # |
| 0340765 | Medicaid | MT | |
| 0197816 | Other | MT | WA STATE WORK COMP PROV # |
| MSF0512193 | Other | MT | MT STATE FUND WORK COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284PT | MT | MD | Physical Therapist |
| 8905 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Services LLC | Current | Accepting new patients | |
| Rejuv Medical, P.a. | Physical Therapist | Past | Accepting new patients |
| Kalispell Rehabilitation Associates, Inc | Physical Therapist | Past | Accepting new patients |
Locations
175 Commons Loop
Ste 100
Kalispell, MT 59901
Phone (406) 751-4200
Interoperability endpoints
- https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Kalispell, MT
- NPI 1508084641
-
- Physical Therapist
- Kalispell, MT
- NPI 1497752232
-
- Medical Specialty Clinic/Center
- Waite Park, MN
- NPI 1033355086
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962491464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 WHITEFISH STAGE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012753",
"telephone_number": "406-756-7878",
"fax_number": "406-257-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 WHITEFISH STAGE",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012753",
"telephone_number": "406-756-7878",
"fax_number": "406-257-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "DOUGLAS",
"middle_name": "E",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1284PT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT PROVIDER #",
"identifier": "60796",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0340765",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE WORK COMP PROV #",
"identifier": "0197816",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE FUND WORK COMP",
"identifier": "MSF0512193",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.